MRS. MERCEDITA VILLAR KIMBROUGH FNP-BC
NPI 1053640342
Nurse Practitioner - Family in Woonsocket, RI
About Mrs. Mercedita Villar Kimbrough Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MERCEDITA VILLAR KIMBROUGH FNP-BC (NPI 1053640342) is an individual family provider in Woonsocket, Rhode Island, licensed in Missouri (2009038441) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Mercedita Villar Kimbrough Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02895 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mercedita Kimbrough's NPI number?
The NPI number for Mercedita Kimbrough is 1053640342. It was assigned to this individual provider in the NPPES registry on December 15, 2009.
Where is Mercedita Kimbrough located?
Mercedita Kimbrough practices at 1 CVS Dr, Woonsocket, RI 02895. The listed phone number is (866) 389-2727.
What is Mercedita Kimbrough's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mercedita Kimbrough enrolled in Medicare?
Yes. Mercedita Kimbrough is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mercedita Kimbrough was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Mercedita Villar Kimbrough, FNP-BC · NPI 1053640342
Family physician in Woonsocket, Rhode Island. Individual provider, active in the CMS NPPES registry since December 15, 2009.
## Identity
- **NPI:** 1053640342 (Entity type: Individual)
- **Enumerated:** December 15, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2009038441 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CVS DR, Woonsocket, RI 02895-6146
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053640342) · Data from the CMS NPPES public registry.